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Updated: Jun 17, 2025

A Method for Screening and Validation of Resistant Mutations Against Kinase Inhibitors
Published on: December 7, 2014
FDA-approved small molecule kinase inhibitors for cancer treatment (2001-2015): Medical indication, structural
Ying Wang1, Xiang Nan2, Yanping Duan3
1Department of Electrophysiological Diagnosis, 3201 Hospital of Xi'an Jiaotong University Health Science Center, Hanzhong 723000, China.
Abstract:
The dysregulation of kinases has emerged as a major class of targets for anticancer drug discovery given its node roles in the etiology of tumorigenesis, progression, invasion, and metastasis of malignancies, which is validated by the FDA approval of 28 small molecule kinase inhibitor (SMKI) drugs for cancer treatment at the end of 2015. While the preclinical and clinical data of these drugs are widely presented, it is highly essential to give an updated review on the medical indications, design principles and binding modes of these anti-tumor SMKIs approved by the FDA to offer insights for the future development of SMKIs with specific efficacy and safety.
Insights
Kinase dysregulation drives cancer. This review updates medical uses, design, and binding of 28 FDA-approved small molecule kinase inhibitors (SMKIs) to guide future anticancer drug development.
Area of Science:
- Oncology
- Pharmacology
- Drug Discovery
Background:
- Kinase dysregulation is central to cancer development, progression, and metastasis.
- Small molecule kinase inhibitors (SMKIs) represent a significant class of targeted anticancer therapies.
- Twenty-eight SMKIs were approved by the FDA for cancer treatment by the end of 2015.
Purpose of the Study:
- To provide an updated review of FDA-approved anti-tumor SMKIs.
- To analyze their medical indications, design principles, and binding modes.
- To offer insights for the future development of effective and safe SMKIs.
Main Methods:
- Literature review of preclinical and clinical data for FDA-approved SMKIs.
- Analysis of drug design strategies and molecular interactions.
- Synthesis of information on medical applications and therapeutic outcomes.
Main Results:
- Summary of current medical indications for 28 anti-tumor SMKIs.
- Overview of key design principles and structure-activity relationships.
- Detailed examination of binding modes and their impact on efficacy and safety.
Conclusions:
- Updated understanding of approved SMKIs is crucial for advancing cancer therapy.
- Insights into design and binding modes can inform the development of next-generation SMKIs.
- Future SMKIs should prioritize specific efficacy and improved safety profiles.
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